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神经松动术对神经根型颈椎病疼痛、活动范围、肌肉耐力及功能障碍的疗效:一项系统评价

Effectiveness Of Neuro Mobilisation On Pain, Range Of Motion, Muscle Endurance And Disability In Cervical Radiculopathy: A Systematic Review.

作者信息

Rafiq Shazia, Zafar Hamayun, Gillani Syed Amir, Razzaq Ayesha

机构信息

Department of Physiotherapy, Jinnah Hospital,Lahore,Pakistan.

Institute of Physical Therapy,The University of Lahore,Lahore,Pakistan.

出版信息

J Pak Med Assoc. 2023 Sep;73(9):1857-1861. doi: 10.47391/JPMA.7111.

DOI:10.47391/JPMA.7111
PMID:37817698
Abstract

OBJECTIVE

To assess the effects of the neural mobilisation technique on mobility, pain and disability in cervical radiculopathy patients, and to assess the functional activity level.

METHODS

The systematic review was conducted from January 5 to July 5, 2022, and comprised search on Medline, PEDro, Cochrane Library and Embase databases for randomised controlled trials involving patients diagnosed with cervical radiculopathy that were published in the preceding 10 years in the English language. The search terms were divided into four classes by using the guideline for systematic reviews of trials of interventions in the Cochrane neck and back groups and related spinal disorders. Data wasretrieved afterthe studies were subjected to quality assessment and risk of biasness.

RESULTS

Of the 1563 studies initially found, 8 (0.51%)were reviewed.Nomatter the approach ordosage used,manual therapy was successful in treating cervical radiculopathy symptomsin all investigations.

CONCLUSION

A multimodal strategy incorporating neural mobilisation appears to be the most successful short-term technique.

摘要

目的

评估神经松动技术对神经根型颈椎病患者活动度、疼痛和功能障碍的影响,并评估其功能活动水平。

方法

于2022年1月5日至7月5日进行系统评价,在Medline、PEDro、Cochrane图书馆和Embase数据库中检索过去10年发表的、涉及诊断为神经根型颈椎病患者的随机对照试验,检索语言为英文。根据Cochrane颈部和背部组及相关脊柱疾病干预试验系统评价指南,检索词分为四类。在对研究进行质量评估和偏倚风险评估后检索数据。

结果

最初检索到1563项研究,其中8项(0.51%)被纳入综述。无论采用何种方法或剂量,在所有调查中,手法治疗均成功治疗了神经根型颈椎病症状。

结论

结合神经松动的多模式策略似乎是最成功的短期技术。

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